Care For The Dying And Those Who Grieve

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Question 21
Multiple Choice

A terminally ill patient tells the nurse, "Life has been good. I am proud of my education. I overcame adversity with willpower. I always gave my best and expected things to turn out well. I intend to die as I lived: optimistically." The nurse planning care for this patient recognizes a critical need to:

Choose correct answer/s
A
provide aggressive pain and symptom management.
B
help the patient reassess and explore existing conflicts.
C
assist the patient to focus on the meaning in life and death.
D
support the patient's use of personal resources to meet challenges.
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Question 22
Multiple Choice

The spouse of a patient in hospice care angrily tells the nurse, "The care provided by the aide and other family members is inadequate, so I must do everything myself. Can't anyone do things right?" The palliative care nurse should:

Choose correct answer/s
A
provide teaching about anticipatory grieving.
B
assign new personnel to the patient's care.
C
arrange hospitalization for the patient.
D
refer the spouse for crisis counseling.
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Question 23
Multiple Choice

An individual was killed during a store robbery 2 weeks ago. The widowed spouse, who was diagnosed 6 years ago with schizoaffective disorder, cries spontaneously when talking about the death. Which is the nurse's most therapeutic comment?

Choose correct answer/s
A
"I'm worried about how much you're crying. Your grief over your spouse's death has gone on too long."
B
"The unexpected death of your spouse must be painful. I'm glad you're able to talk to me about your feelings."
C
"This loss is harder to accept because of your mental illness. Let's refer you to the partial hospitalization program."
D
"Your crying shows me you aren't coping well. I made an appointment for you to see the psychiatrist for medication adjustment."
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Question 24
Multiple Choice

Children of a widowed parent confer with the nurse; their surviving parent repeatedly relates the details of finding the deceased parent not breathing, performing cardiopulmonary resuscitation, going to the hospital by ambulance, and seeing the pronouncement of death. The family asks, "What can we do?" The nurse should counsel the family:

Choose correct answer/s
A
to share their own feelings with the surviving parent and ask for the retelling to stop.
B
that retelling the story should be limited to once daily to avoid unnecessary stimulation.
C
that retelling memories is to be expected as part of the aging process.
D
that repeating the story is a helpful and a necessary part of grieving.
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Question 25
Multiple Choice

A widow grieving her husband's sudden and unexpected death tells the nurse, "I'm not feeling well. Yesterday, I saw my husband walk through the door, stop, and smile at me. Then he just faded away." Which is the nurse's most appropriate action?

Choose correct answer/s
A
Assess for recent substance abuse.
B
Suggest a referral to the mental health clinic.
C
Arrange for an evaluation for antidepressant medication.
D
Counsel the widow that visualizations are a normal part of grieving.
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Question 26
Multiple Choice

A grieving patient tells a nurse, "It's been eight months since my spouse died. I thought I would feel better by now, but lately I feel worse. I have no energy. I am lonely, but I don't want to be around people. What should I do?" What is the nurse's best counsel?

Choose correct answer/s
A
Seek psychotherapy.
B
Become active in a church.
C
Go to the spouse's grave every day.
D
Understand this is a normal response.
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Question 27
Multiple Choice

A nurse cared for a terminally ill patient for over a month and always looked forward to spending time with the patient. When the patient died, the nurse experienced sadness and felt mildly depressed. Eventually, the nurse explains these feelings to a mentor. The mentor should counsel the nurse:

Choose correct answer/s
A
about stress-reduction strategies.
B
to seek therapy for dysfunctional grief.
C
about the experience of disenfranchised grief.
D
to consider taking a leave of absence to pursue healing.
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Question 28
Multiple Choice

Which actions by a nurse contribute to protecting the rights of patients who are terminally ill? (Select all that apply.)

Choose correct answer/s
A
Maintain hope for a positive prognosis.
B
Hug the patient when sadness is expressed.
C
Offer choices that promote personal control.
D
Provide interventions that convey respect.
E
Support the patient's quest for spiritual growth.
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Question 29
Multiple Choice

Which statements by a patient who is terminally ill give the nurse information relevant to spiritual assessment? (Select all that apply.)

Choose correct answer/s
A
"I feel an inner peace with my decision to use hospice services."
B
"I trust my health care provider to prescribe enough medication to keep me free of pain."
C
"I have prepared advance directives to spare my children the need to make difficult decisions."
D
"I plan to use these last weeks to experience the process of dying as fully as I experienced the richness of living."
E
"Listening to hymns helps deepen my relaxation and the relief I get from my pain medication."
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Question 30
Multiple Choice

Psychotherapy for individuals at risk for complicated grief focuses on which goals? (Select all that apply.)

Choose correct answer/s
A
Exploring emotional responses to a loss
B
Identifying ways to break bonds with the deceased
C
Solving problems related to moving forward in life
D
Learning about the stages and symptoms of grieving
E
Using antipsychotic medications for dysfunctional grief
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